Manual Therapy for the Upper and Lower Quadrant: What Do I Need to Know? Objectives

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Manual Therapy for the Upper and Lower Quadrant: What Do I Need to Know? Objectives"

Transcription

1 Manual Therapy for the Upper and Lower Quadrant: What Do I Need to Know? Objectives 1. Describe the current best evidence for manual therapy in the management of a variety of disorders. 2. Recognize subgroups for which manual therapy interventions are most appropriate. 3. Select and demonstrate manual physical therapy interventions based on current best evidence. 4. Select appropriate exercises to augment manual physical therapy techniques. 1

2 Contraindications to Thrust Manipulation Absolute Fracture/dislocation Instability Bone malignancies Bone infections CNS Disorders Bleeding Disorders Osteoporosis Relative Interventions Spondylolesthesis Hypermobility Post-surgical joints Benign bone tumors Nerve root compression Pregnancy Thoracic Spine and Ribs 2

3 Flexion/Opening Manipulation (T3-T10) Cross the patient s arms across her chest (right above the left) Establish your left hand contact on the transverse processes of the inferior vertebra Localize motion through the patient s arms. Further localize by flexing, left sidebending, and left rotating from above down to the dysfunctional segment Once the barrier is engaged, apply a high velocity, low amplitude thrust with your body in a anterior to posterior direction. The thrust introduces a flexion moment to open the right zygapophyseal joint. Flexion/Opening Manipulation (with modification for an external rib torsion) This is essentially the same technique as the supine flexion opening technique for the thoracic spine With the patient rolled toward you, establish your right hand contact medial to the rib angle and twist upward. This ensures that the thenar eminence lifts the medial aspect of the rib angle Localize motion through the patient s arms to the motion segment. Further localize by flexing, right sidebending, and right rotating from above down to the dysfunctional segment Once the barrier is engaged, apply a high velocity, low amplitude thrust with your body in a anterior to posterior direction. The force is focused just lateral to the left facet joint and should introduce a flexion moment 3

4 HVT T1/2 Distraction Cross the patient s arms across his chest opposite arm on top and roll him toward you Use a pinch grip to contact spinous process and distract T1 on T2 Place the patient supine while maintaining distraction Localize contact via cehpalad motion of the thorax Apply a high velocity, low amplitude thrust with your body in a cephalad/posterior direction Tip: Patient may bridge to further localize technique if needed Cross the patient s arms across his chest opposite arm on top and roll him toward you Use a pinch grip to contact spinous process and distract T1 on T2 Place the patient supine while maintaining distraction Localize contact via cehpalad motion of the thorax Apply a high velocity, low amplitude thrust with your body in a cephalad/posterior direction Tip: Patient may bridge to further localize technique if needed HVT T1/2 Distraction 4

5 Prone CT Junction (C7-T3) Patient is prone with R arm flexed at the shoulder and elbow so that the right hand is above their head Place patient s head in R rotation, L lateral flexion and lower cervical extension so that they are resting directly on their L eye socket Apply your left thumb on the left side of the SP or C7 T3 as appropriate, and take up slack Using right hand, make contact with the patient s right zygomatic arch and introduce left lateral flexion, right rotation and extension to the point of pre-thrust tension With the left hand the thrust is towards the patient s right shoulder Mid-Thoracic Distraction Manipulation With the patient sitting or standing, ask him to loosely interlock his fingers at the base of his neck Place your upper right or left pectoral region on the area of the spine you wish to manipulate Reach around the patient and grasp his elbows; your knees should be slightly flexed Compress the patient s upper body through his arms. Simultaneously, extend your knees to lift his body slightly up and over the fulcrum you established with your chest Tip: You will need to use your chest, your arms, and your body to effectively localize the force to a specific region of the thoracic spine 5

6 Extension/Closing Manipulation (T1-T2) Close Right T1-2 Place your left hand on the patient s head and your forearm along the side of the patient s face Place your thumb or pisiform just medial to the right side of the spinous process of the superior vertebra Introduce extension, right sidebending, and right rotation to the restrictive barrier. Use your whole body to translate the patient from posterior to anterior and right to left Apply a high velocity, low amplitude thrust in a right to left direction toward the opposite S-C joint to close the right facet joint Tip: Do not compress on the head and neck Extension/Closing Manipulation (T3-T10) Place your right hand over the right transverse process of the superior vertebra; rotate your hand caudally to obtain a skin lock and introduce an anteriorly directed force with your right hand Place your left hand on the left transverse process of the same vertebra; rotate your hand caudally to obtain a skin lock and introduce a caudally directed force to engage the restrictive barrier Apply a high velocity, low amplitude posterior to anterior thrust into the restrictive barrier Tip: This is a very low force technique 6

7 1st Rib Manipulation Position the patient as demonstrated Your right thumb should contact the shaft of the 1st rib just lateral to the T1 transverse process while allow the web space of your thumb to pull the trapezius posteriorly Engage the barrier with sidebending to the right and rotation to the left at T1 Apply a high velocity, low amplitude thrust to the shaft of the 1st rib in a diagonal direction towards your left thigh Tip: Use your whole body to translate the patient and engage the barrier. Your left leg should be stationary during the thrust. Lumbopelvic Region 7

8 Sacro-Iliac Region Manipulation: Supine Translate the pelvis towards you and maximally side-bend the patient s lower extremities and trunk to the right Without losing the right sidebending lift & rotate the trunk so the patient rests on their left shoulder Contact the patient s right ASIS with your left hand Grasp the top shoulder and scapula with your right hand and rotate the trunk to the left while maintaining the right side-bending Once the right ASIS starts to elevate, perform a smooth thrust in an anterior to posterior direction Reassess symptoms and impairments Sacro-Iliac Region Manipulation: Supine with Alternate Operator Arm Position Translate pelvis toward you and maximally side-bend the patient s lower extremities and trunk to the right Thread your right forearm through the patient s arms. Rest your fingertips on the patient s sternum or the table. Stand upright and rotate the trunk to the left (maintain the right side-bending) Contact the patient s right ASIS with your left hand. When the ASIS rises from the table, perform a smooth thrust in an anterior to posterior direction Reassess symptoms and impairments 8

9 Lumbar Spine: General Neutral Gapping Mobilization Place the patient on his side with the painful or stiff side up Grasp the left arm and shoulder and introduce right rotation Using your left arm, stabilize the patient s trunk With your right arm, apply a mobilizing force through the patient s right posterior hip into lumbar rotation Position yourself: more cephalad to affect the upper lumbar spine more caudad to affect the lower lumbar spine in midrange to affect the the middle lumbar spine Reassess symptoms and impairments Lumbar Spine: Segmental Neutral Gapping Manipulation Flex the top leg until you first begin to palpate motion at L4-L5 interspace; place the patient s foot in the popliteal fossa as shown Grasp the patient s right arm and shoulder and induce right sidebending & left rotation until you begin to palpate motion at the L4-L5 interspace Place your left thumb on the left side of the L4 SP & position the patient s arms around your left arm While maintaining your setup log roll the patient towards you While monitoring the right side of the L5 SP, use your right arm to induce a high velocity, low amplitude (HVLA) thrust in anterior direction Reassess symptoms and impairments 9

10 Lumbar Spine: Flexion (Opening) Manipulation Flex the top leg until you first begin to palpate motion at L3-L4 motion segment; place the foot in the popliteal fossa as shown Flex the upper body down until you begin to palpate motion at the L3-L4 motion segment Rotate the upper trunk to the right until you begin to palpate motion at the L3-L4 motion segment Place your right thumb on the right side of the L3 SP & position the patient s arms around your right arm Log roll the patient towards you While monitoring to the left of the L4 SP, use your left arm & body to induce a high velocity, low amplitude thrust in an anterior and cephalward direction Reassess symptoms and impairments Lumbar Spine: Extension (Closing) Manipulation Grasp the trunk and translate towards you until you localize the extension to the L4-L5 motion segment Rotate the patient s body to the right until you begin to palpate motion at the L4-L5 motion segment Place your right thumb or finger on the right side of the L4 SP & position the patient s arms around your right arm as demonstrated Log roll the patient towards you With your left arm induce a high velocity, low amplitude thrust in anterior and cephalward direction Reassess symptoms and impairments TIP: Place the patient s right foot in the popliteal fossa 10

11 Thoraco-Lumbar Junction: Rotational Manipulation With the patient seated and straddling the plinth, rest the patient s arms on a pillow over your left shoulder Reach underneath the patient s opposite axilla and grasp the lateral scapula Use your right pisiform to contact the right transverse process of T12 Induce left spinal rotation with your left arm and body Engage the restrictive barrier Apply a low velocity, high amplitude thrust into left rotation Reassess symptoms and impairments Lower Extremity Distraction Manipulation Abduct the hip of the involved side to maximum relaxation (typically about 15 degrees) Block the opposite foot with your thigh Apply a high velocity, low amplitude thrust in a caudad direction through the involved lower extremity Reassess symptoms and impairments Notes: This technique may be contraindicated with certain hip and knee pathologies Your cephalad hand supports the knee to prevent hyperextension In very mobile individuals, you may need to internally rotate the hip to increase the motion that is generated through the pelvis 11

12 Cervical Spine OA Joint Mobilization Mobilize the left OA With your left hand, support the occiput below the superior nuchal line Introduce OA flexion around an imaginary transverse axis running through the patient s external auditory meati Introduce the coupled motions of right sidebending and left rotation When the OA joint is positioned at the restrictive barrier, apply a posterior glide through the occiput with the right hand 12

13 OA Joint Flexion Manipulation Flex the Right OA joint Cup the patient s chin and cradle the side of the head with your right forearm With your left hand, support the occiput below the superior nuchal line Introduce OA flexion around an imaginary transverse axis running through the patient s external auditory meati Introduce the coupled motions of left sidebending and right rotation by translating the head from left to right When the OA joint is positioned at the restrictive barrier, apply a high velocity, low amplitude traction (cephalic) thrust AA Joint Contract-Relax Technique in Rotation Right Rotate the AA Grasp the head and fully flex the neck to reduce available rotation from C2 C7 Use your index fingers to palpate the posterior arch of C1 and rotate the neck to the right, engaging the restrictive barrier Instruct the patient to gently look or turn the head to the left and perform a 3-5 second isometric contraction Allow the patient to fully relax and engage the new right rotation restrictive barrier Do not allow the neck to extend during the rotation 13

14 Cervical Gapping Manipulation in Flexion Use your left hand to control the head/neck and place your right 2 nd MCP over the right facet joint of the motion segment Flex the patient s neck and translate from right to left to localize movement to the dysfunctional segment When the motion segment is at the restrictive barrier, apply a low amplitude, high velocity translatory thrust to open the left facet Tips: Ensure your right 2 nd MCP contact remains posterior to the facet joint, not over the transverse process. Keep your right forearm in line with the direction of thrust Hip 14

15 Lower Extremity Distraction Manipulation Abduct the hip of the involved side to maximum relaxation (typically about 15 degrees) Block the opposite foot with your thigh Apply a high velocity, low amplitude thrust in a caudad direction through the involved lower extremity Reassess symptoms and impairments Notes: This technique may be contraindicated with certain hip and knee pathologies Your cephalad hand supports the knee to prevent hyperextension In very mobile individuals, you may need to internally rotate the hip to increase the motion that is generated through the pelvis Hip Mobilization: Caudal Glide Progression Use a mobilization belt placed firmly in the patients hip crease Flex the patient s hip to the restrictive barrier Use your body to apply a caudally directed force to the proximal thigh Use an oscillatory passive accessory mobilization force Adjust the amount of hip flexion, rotation, & add/abduction to find the position of optimal mobilization Reassess symptoms and impairments after mobilization 15

16 Hip Mobilization: Anterior to Posterior Progression Position the lower extremity with the hip in a position of flexion, adduction, internal rotation Use your body to impart an oscillatory, passive mobilizing force to the postero-lateral hip capsule through the long axis of the femur Progress the technique by adding more flexion, adduction, & / or internal rotation Reassess symptoms and impairments after mobilization Hip Mobilization: Posterior to Anterior Mobilization in Flexion, Abduction, & External Rotation Bring the prone lying patient s hip into varying degrees of flexion, abduction and external rotation. Contact the proximal hip and use your body to impart an oscillatory, passive mobilizing force in a posterior to anterior direction. Vary the vector of your mobilizing force, dependent on stiffness and the patient s symptoms. If extremely stiff, start with a pillow under the patient s left trunk to decrease the amount of hip abduction required. Progress to lying flat on the table when able. Reassess symptoms and impairments after mobilization 16

17 Hip Mobilization: Posterior to Anterior Progression Grasp and support the patient s lower extremity with your left arm and trunk Place either the 1 st web space, thenar eminence, or hypothenar eminence of your right hand just inferior and medial to the greater trochanter Bring the patient s hip into varying degrees of flexion/extension, abduction/adduction, and internal/external rotation to find the vector of force that most effectively stretches the hip Use your body to impart an oscillatory, passive mobilizing force through the proximal femur in a posterior to anterior direction. The stretch should be felt by the patient in the anterior hip region Tip: To progress the technique increase the amount of extension, adduction, and internal rotation. Hip Mobilization: Internal Rotation in Extension Flex the knee to 90 degrees, ensure that the hip is in neutral or slight adduction Internally rotate the hip until the contralateral ilium raises approximately 1-2 inches from the table Stabilize the lower leg and impart an oscillatory, passive mobilizing force through the contralateral pelvis Note: If the patient experiences knee discomfort, grasp the distal thigh and place your forearm along the medial aspect of the patient s tibia Reassess symptoms and impairments after mobilization 17

18 Knee Flexion Flex the knee Note end-feel, range, pain and resistance Apply mobilizing force Retest impairments 18

19 Flexion External Rotation Flex and externally rotate the knee. Note end-feel, range, pain and resistance Apply graded mobilization Retest impairments Flexion Internal Rotation Flex and internally rotate the knee Note end-feel, range, pain and resistance Apply graded mobilization Retest impairments 19

20 Extension Stabilize the limb at the ankle Place the heel of your mobilizing hand over the tib tuberosity as shown Note end-feel, range, pain and resistance Apply graded extension mobilization Retest impairments Extension Abduction Stabilize the limb at the ankle so there is a lower leg abbduction moment Place the heel of your mobilizing lateral to the tib tuberosity as shown Apply an extension mobilization with your mobilizing hand into tibiofemoral adduction Note end-feel, range, pain and resistance Retest impairments Note: This technique is named for the distal seg ABBduction moment 20

21 Extension Adduction Stabilize the limb at the ankle so there is a lower leg adduction moment Place the heel of your mobilizing medial to the tib tuberosity as shown Apply an extension mobilization with your mobilizing hand into tibiofemoral abbduction Note end-feel, range, pain and resistance Retest impairments Note: This technique is named for the distal seg Adduction moment Proximal Tib/fib A-P Place your thenar eminence on the anterior fibular head Apply a force in an anterior-posterior direction Note end-feel, range, pain and resistance Retest impairments 21

22 Proximal Tibio-Fibular Joint Manipulation Place your 2nd MCP in the popliteal fossa, then pull the soft tissue laterally until your metacarpo-phalangeal joint (MCP) is firmly stabilized behind the fibular head. Use your right hand to grasp the foot and ankle as demonstrated and externally rotate the leg and flex the knee to the restrictive barrier your. Once at the restrictive barrier, apply a high velocity, low amplitude thrust through the tibia (direct the patient s heel towards his ipsilateral buttock). Foot and Ankle 22

23 Subtalar Joint Manipulation (Rearfoot Distraction) Grasp the dorsum of the patient s foot with interlaced fingers Provide firm pressure with both thumbs in the middle of the planar surface of the forefoot Engage the restrictive barrier by dorsiflexing the ankle & applying long axis distraction Pronate & dorsiflex the foot to fine-tune the barrier Apply a high velocity, low amplitude thrust in a caudal direction Dorsiflexion Cup the heel with one hand Place other hand across forefoot and heel Apply DF force by DF the ankle and/or keeping the foot parallel to the floor and gliding the heel cephalward Note end-range, pain and resistance 23

24 Patient position Prone, knee flexed 90 degrees Therapist position One hand cups proximal calcaneus Other hand grasps midfoot with forearm placed along plantar foot Mobilization technique Graded mobilizations into dorsiflexion with rocking motion Quick flicks at end range for added emphasis Physiological Motion: Ankle Dorsiflexion Physiological Motion: Ankle Plantarflexion Patient position Prone, knee flexed 90 degrees Therapist position One hands grasps plantar surface calcaneus Other hand grasps dorsal midfoot Mobilization technique Graded mobilizations into plantarflexion with rocking motion Quick flicks at end range for added emphasis 24

25 Ankle Inversion (TC and STJ) Patient position Prone, knee flexed 90 degrees Therapist position One hand cups plantar surface of calcaneus Other hand grasps plantar midfoot Tips of fingers along proximal talus (move to proximal calcaneus for STJ) Mobilization technique Graded mobilizations into inversion with rocking motion Ankle Eversion: (TC & STJ) Patient position Prone, knee flexed 90 degrees Therapist position One hand cups plantar surface of calcaneus Other hand grasps plantar midfoot Tips of fingers along proximal talus (move to proximal calcaneus for STJ) Mobilization technique Graded mobilizations into eversion with rocking motion 25

26 Talocrual PA in prone Block the distal tibia and fibula with your caudal hand Cup the calcaneous with the other hand (or use your web space at the talus) Apply a posterior to anterior force Note pain and resistance Talo-Crural Joint PA Mobilization in Prone Use your left hand to firmly stabilize the lower leg at the malleoli and grasp the posterior, medial, and lateral talus with your right hand Apply a posterior to anterior oscillatory mobilization force to the talus Tip: Use your thigh to help stabilize the calcaneus and to progressively increase the amount of ankle plantar flexion used with this technique 26

27 Block the posterior distal tibia and fibula Contact the anterior talus with web space of opposite hand Apply an anterior to posterior force Note pain and resistance *** Use your shoulder to keep the ankle in more of a neutral position than is shown here. Talocrual AP Cuboid Manipulation Place the tips of your thumbs over the plantar & medial aspect of the cuboid Translate the foot in a caudad and lateral direction while simultaneously ulnarly deviating your left hand Ensure that you create the fulcrum of motion and approach the restrictive barrier at the cuboid Once at the restrictive barrier, apply a high velocity, low amplitude manipulative thrust in a sweeping J like motion (plantar flexion & varus) 27

28 Talo-Crural Joint AP Mobilization Use your left hand to firmly stabilize the lower leg at the malleoli Grasp the anterior, medial, and lateral talus with your right hand Apply an anterior to posterior oscillatory mobilization force to the talus Tip: Use your thigh to help stabilize the foot and to progressively increase the amount of ankle dorsiflexion used with this technique You may need to adjust the amount of supination / pronation to optimize the technique Distal Tibio-Fibular Joint Mobilization AP to the fibula: Use your left hand to stabilize the distal tibia Grasp the distal fibula between the pads of your fingers and the thenar eminence / heel of your right hand Apply an anterior to posterior oscillatory mobilization force to the distal fibula or tibia Optimize the technique by adjusting and maintaining various angles of ankle dorsiflexion PA to the fibula: Apply the same technique with the patient in a prone position 28

29 Talo-Crural Joint (TCJ) & Subtalar Joint (STJ) Lateral Glides TCJ Lateral Glide: Grasp the malleoli just proximal to TCJ with your left index/thumb and use your forearm to stabilize the patient s left leg against table Place your right thenar eminence on the talus just distal to malleoli and grasp the rearfoot Use your body to Impart a mobilizing force through your right arm and thenar eminence to the medial talus STJ Lateral Glide: Shift your left hand/forearm distally and grasp the talus with left index/thumb Place your right thenar eminence on the patient s medial calcaneus and grasp the rearfoot Use your body to impart a mobilizing force through your right arm and thenar eminence to the medial calcaneus Shoulder 29

30 Inferior Glide of Humerus With the patient s shoulder stabilized on the table, the examiner guides the patient s arm into approximately 90º of abduction with one hand. When this position is obtained, the examiner applies an inferior force at the proximal humerus and assesses the amount of mobility and symptomatic response. Posterior Glide of Humerus With the patient s shoulder stabilized on the table, the examiner guides the patient s arm into approximately 90º of abduction with one hand. When this position is obtained, the examiner applies an posterior force at the proximal humerus and assesses the amount of mobility and symptomatic response. 30

31 Anterior/Posterior glide of Acromioclavicular Joint The examiner grips the distal clavicle with the index finger on the superior/posterior surface and the thumb on the anterior surface with their thumb. The examiner then glides the clavicle in an anterior and posterior direction while assessing mobility and symptoms response. Anterior/Posterior glide of Sternoclavicular Joint The examiner places the hypothenar eminence on the medial aspect of the clavicle. The examiner applies a posteriorly directed force while assessing mobility and symptoms response. 31

Manua l Therapy Technique s f or t he Shoulder. LCD R Joe Strunc e PT, DSc, OCS, FAAOMPT

Manua l Therapy Technique s f or t he Shoulder. LCD R Joe Strunc e PT, DSc, OCS, FAAOMPT Manua l Therapy Technique s f or t he Shoulder LCD R Joe Strunc e PT, DSc, OCS, FAAOMPT Shoulde r Techniques GH Physiological Mvmts Flexion (Grade 4) Abduction (Grade 4) External Rotation (Grade 4) Internal

More information

MET: Posterior (backward) Rotation of the Innominate Bone.

MET: Posterior (backward) Rotation of the Innominate Bone. MET: Posterior (backward) Rotation of the Innominate Bone. Purpose: To reduce an anterior rotation of the innominate bone at the SI joint. To increase posterior (backward) rotation of the SI joint. Precautions:

More information

International Standards for the Classification of Spinal Cord Injury Motor Exam Guide

International Standards for the Classification of Spinal Cord Injury Motor Exam Guide C5 Elbow Flexors Biceps Brachii, Brachialis Patient Position: The shoulder is in neutral rotation, neutral flexion/extension, and adducted. The elbow is fully extended, with the forearm in full supination.

More information

OMT for Low Back Pain. Boyd R. Buser, D.O. American Academy of Osteopathy OMED October 1, 2013

OMT for Low Back Pain. Boyd R. Buser, D.O. American Academy of Osteopathy OMED October 1, 2013 OMT for Low Back Pain Boyd R. Buser, D.O. American Academy of Osteopathy OMED October 1, 2013 Overview Epidemiology History Lumbar vs. Pelvic somatic dysfunction Model for OMT sequence Low Back Pain Epidemiology

More information

SPINE. Postural Malalignments 4/9/2015. Cervical Spine Evaluation. Thoracic Spine Evaluation. Observations. Assess position of head and neck

SPINE. Postural Malalignments 4/9/2015. Cervical Spine Evaluation. Thoracic Spine Evaluation. Observations. Assess position of head and neck SPINE Observations Body type Postural alignments and asymmetries should be observed from all views Assess height differences between anatomical landmarks Figure 25-9 Figure 25-10 Figure 25-11 & 12 Postural

More information

Osteopathic Manual Medicine in the Field of Athletic Training

Osteopathic Manual Medicine in the Field of Athletic Training Osteopathic Manual Medicine in the Field of Athletic Training James F. Frommer, Jr., D.O., A.T., C. EATA Annual Conference Valley Forge, Pa January 11-14, 2008 History of Osteopathy Osteopathic medicine

More information

Cervicothoracic Mobility Exercises

Cervicothoracic Mobility Exercises Cervicothoracic Mobility Exercises Upper Cervical Mobility Exercises... 2 Lower Cervical Mobility Exercises... 3 Cervicothoracic Junction Mobility Exercises... 4 1 st Rib Mobility Exercises... 5 Cervical

More information

Facilitated positional release (FPR) of sacrum

Facilitated positional release (FPR) of sacrum Facilitated positional release (FPR) of sacrum Brief description: FPR of the sacrum is a short treatment that places the sacrum in a neutral position, then abducts and flexes the leg before applying a

More information

Range of Motion. A guide for you after spinal cord injury. Spinal Cord Injury Rehabilitation Program

Range of Motion. A guide for you after spinal cord injury. Spinal Cord Injury Rehabilitation Program Range of Motion A guide for you after spinal cord injury Spinal Cord Injury Rehabilitation Program This booklet has been written by the health care providers who provide care to people who have a spinal

More information

Breakout 4 - OMT for Extremity Complaints Thomas E Sabalaske, DO

Breakout 4 - OMT for Extremity Complaints Thomas E Sabalaske, DO Breakout 4 - OMT for Extremity Complaints Thomas E Sabalaske, DO OMT of the Extremities Board Review Thomas E. Sabalaske DO www.doctorsab.com AOCFP Intensive Update and Board Review August 2015 Objectives

More information

Sports Medicine 15 Unit I: Anatomy Part 1 Anatomical Overview Bones, Joints, Anatomical positions

Sports Medicine 15 Unit I: Anatomy Part 1 Anatomical Overview Bones, Joints, Anatomical positions Sports Medicine 15 Unit I: Anatomy Part 1 Anatomical Overview Bones, Joints, Anatomical positions By Andrew Morgan BPE/Bed, c.2003 Anatomy deals with the structure of the human body, and includes a precise

More information

EMG Practicum 1: Electrode location and placement

EMG Practicum 1: Electrode location and placement EMG Practicum 1: Electrode location and placement Objectives Learning to - Find the correct muscles - Find the correct electrode location on the muscle - Prepare the skin - Place the electrodes correctly

More information

SFMA Shoulder Corrective Exercises

SFMA Shoulder Corrective Exercises Seated Thoracic Extension Mobilization Sit with knees higher than the hips to lock out the low back. Interlock the fingers behind the neck and bring the elbows together in the front. Slowly raise the elbows

More information

Basic Biomechanics. What is Kinesiology? Why do we need Kinesiology? the body as a living machine for locomotion

Basic Biomechanics. What is Kinesiology? Why do we need Kinesiology? the body as a living machine for locomotion Basic Biomechanics the body as a living machine for locomotion What is Kinesiology? Kinesis: To move -ology: to study: The study of movement What the heck does that mean? Why do we need Kinesiology? As

More information

Stretching. Yoga - Morning Stretch. Yoga - Downward Dog. Downward Dog (Abdominals)

Stretching. Yoga - Morning Stretch. Yoga - Downward Dog. Downward Dog (Abdominals) Stretching Yoga - Morning Stretch Lie face up, arms by side, palms down Inhale, bring arms overhead & lift spine off the floor Point toes. Extend legs & arms away from each other Exhale, bring arms back

More information

Thoracic Spine Mobility Deficits

Thoracic Spine Mobility Deficits Thoracic Spine Mobility Deficits ICD-9-CM: 847.1 thoracic sprain ICF codes: Activities and Participation Domain code: d4105 Bending (Tilting the back downward or to the side, at the torso, such as in bowling

More information

THE BENJAMIN INSTITUTE PRESENTS. Excerpt from Listen To Your Pain. Assessment & Treatment of. Low Back Pain. Ben E. Benjamin, Ph.D.

THE BENJAMIN INSTITUTE PRESENTS. Excerpt from Listen To Your Pain. Assessment & Treatment of. Low Back Pain. Ben E. Benjamin, Ph.D. THE BENJAMIN INSTITUTE PRESENTS Excerpt from Listen To Your Pain Assessment & Treatment of Low Back Pain A B E N J A M I N I N S T I T U T E E B O O K Ben E. Benjamin, Ph.D. 2 THERAPIST/CLIENT MANUAL The

More information

General Guidelines. Neck Stretch: Side. Neck Stretch: Forward. Shoulder Rolls. Side Stretch

General Guidelines. Neck Stretch: Side. Neck Stretch: Forward. Shoulder Rolls. Side Stretch Stretching Exercises General Guidelines Perform stretching exercises at least 2 3 days per week and preferably more Hold each stretch for 15 20 seconds Relax and breathe normally Stretching is most effective

More information

Isolating UE muscles with Manual Muscle Testing

Isolating UE muscles with Manual Muscle Testing Shoulder Flexion Isolation of Anterior Deltoid Patient starts in sitting position Arm placed in shoulder abduction (~90 o ) with shoulder flexion (~90 o ) and slight external rotation Stabilize: With one

More information

Osteokinematics (how the bones move) & Arthrokinematics (how the joints move)

Osteokinematics (how the bones move) & Arthrokinematics (how the joints move) Osteokinematics (how the bones move) & Arthrokinematics (how the joints move) Planes & Axes Planes of Action = Three fixed lines of reference along which the body is divided. Each plane is at right angles

More information

EXERCISE SHEET FOR LOWER BACK PAIN

EXERCISE SHEET FOR LOWER BACK PAIN EXERCISE SHEET FOR LOWER BACK PAIN Double Leg Stretch To challenge lumbo pelvic control with upper and lower limb sagittal plane movements. To challenge scapula thoracic stability with dissociated movement

More information

Clarification of Terms

Clarification of Terms Shoulder Girdle Clarification of Terms Shoulder girdle = scapula and clavicle Shoulder joint (glenohumeral joint) = scapula and humerus What is the purpose (or function) of the shoulder and entire upper

More information

Structure and Function of the Hip

Structure and Function of the Hip Structure and Function of the Hip Objectives Identify the bones and bony landmarks of the hip and pelvis Identify and describe the supporting structures of the hip joint Describe the kinematics of the

More information

Identify the tender point May be based on pain pattern, regional scan, observation, etc.

Identify the tender point May be based on pain pattern, regional scan, observation, etc. 1 Upper Extremity Counterstrain Dan Williams, D.O. Board Certified Neuromusculoskeletal Medicine And Osteopathic Manipulation 2 Counterstrain Osteopathic manipulation technique developed by Larry Jones,

More information

Exercise 1: Knee to Chest. Exercise 2: Pelvic Tilt. Exercise 3: Hip Rolling. Starting Position: Lie on your back on a table or firm surface.

Exercise 1: Knee to Chest. Exercise 2: Pelvic Tilt. Exercise 3: Hip Rolling. Starting Position: Lie on your back on a table or firm surface. Exercise 1: Knee to Chest Starting Position: Lie on your back on a table or firm surface. Action: Clasp your hands behind the thigh and pull it towards your chest. Keep the opposite leg flat on the surface

More information

Senior pets are not unlike senior citizens.

Senior pets are not unlike senior citizens. P ro c e d u re s P ro G E R I A T R I C S / R E H A B I L I T A T I O N Peer Reviewed Christine Jurek, DVM, CCRT, & Laurie McCauley, DVM, CCRT TOPS Veterinary Rehab, Grayslake, Illinois Physical Rehabilitation

More information

Massage and Movement

Massage and Movement Massage and Movement Incorporating Movement into Massage Part One: Theory and Technique in Prone With Lee Stang, LMT NCBTMB #450217-06 1850 West Street Southington, CT 06489 860.747.6388 www.bridgestohealthseminars.com

More information

Self-mobilization methods

Self-mobilization methods Self-mobilization methods 5 Muscle energy techniques, as outlined in previous chapters, provide us with an excellent series of methods for relaxation and stretching of specific tight, shortened, contracted

More information

McMaster Spikeyball Therapy Drills

McMaster Spikeyball Therapy Drills BODY BLOCKS In sequencing Breathing and Tempo Flexibility / Mobility and Proprioception (feel) Upper body segment Middle body segment Lower body segment Extension / Static Posture Office / Computer Travel

More information

The Golfers Ten Program

The Golfers Ten Program The Golfers Ten Program 1. Self Stretching of the Shoulder Capsule a. Posterior capsular stretch Bring your arm across your chest toward the opposite shoulder. With the opposite arm grasp your arm at your

More information

Muscle Energy Technique. Applied to the Shoulder

Muscle Energy Technique. Applied to the Shoulder Muscle Energy Technique Applied to the Shoulder MUSCLE ENERGY Theory Muscle energy technique is a manual therapy procedure which involves the voluntary contraction of a muscle in a precisely controlled

More information

Client Home Care Instructions

Client Home Care Instructions Client Home Care Instructions Stretches You need a stretch rope, towel, or even a long belt and only 5 minutes per day. The best time to stretch is after a warm shower when the muscles are warm. DO NOT

More information

Lumbar/Core Strength and Stability Exercises

Lumbar/Core Strength and Stability Exercises Athletic Medicine Lumbar/Core Strength and Stability Exercises Introduction Low back pain can be the result of many different things. Pain can be triggered by some combination of overuse, muscle strain,

More information

STRAIN &COUNTERSTRAIN PELVIS AND SACRUM

STRAIN &COUNTERSTRAIN PELVIS AND SACRUM STRAIN &COUNTERSTRAIN PELVIS AND SACRUM A PASSIVE POSITIONAL PROCEDURE THAT PLACES THE BODY IN A POSITION OF GREATEST COMFORT, THEREBY RELIEVING PAIN BY REDUCTION AND ARREST OF INAPPROPRIATE PROPRIOCEPTOR

More information

THE BIOMECHANICS OF SKIING

THE BIOMECHANICS OF SKIING THE BIOMECHANICS OF SKIING 4 This chapter provides background information on the biomechanics most relevant to skiing. It outlines how the muscles and skeleton function as a system to create balanced movement.

More information

Screening Examination of the Lower Extremities BUY THIS BOOK! Lower Extremity Screening Exam

Screening Examination of the Lower Extremities BUY THIS BOOK! Lower Extremity Screening Exam Screening Examination of the Lower Extremities Melvyn Harrington, MD Department of Orthopaedic Surgery & Rehabilitation Loyola University Medical Center BUY THIS BOOK! Essentials of Musculoskeletal Care

More information

Stretching the Low Back THERAPIST ASSISTED AND CLIENT SELF-CARE STRETCHES FOR THE LUMBOSACRAL SPINE

Stretching the Low Back THERAPIST ASSISTED AND CLIENT SELF-CARE STRETCHES FOR THE LUMBOSACRAL SPINE EXPERT CONTENT by Joseph E. Muscolino photos by Yanik Chauvin body mechanics THE ESSENCE OF MOST MANUAL THERAPIES, and certainly clinical orthopedic massage therapy, is to loosen taut soft tissues, thereby

More information

Shoulders (free weights)

Shoulders (free weights) Dumbbell Shoulder Raise Dumbbell Shoulder Raise 1) Lie back onto an incline bench (45 or less) with a DB in each hand. (You may rest each DB on the corresponding thigh.) 2) Start position: Bring the DB

More information

are you reaching your full potential...

are you reaching your full potential... T h e r e s n o s u c h t h i n g a s b a d e x e r c i s e - j u s t e x e r c i s e d o n e b a d l y FIT for sport are you reaching your full potential... These tests are a series of exercises designed

More information

SHOULDER EXAMINATION

SHOULDER EXAMINATION 1 SHOULDER EXAMINATION Depending upon the clinical scenario, you may need to examine the cervical spine and elbow. INSPECTION Swelling (especially joints) Sternoclavicular Acromioclavicular Glenohumeral

More information

Basic Anatomy of the Foot

Basic Anatomy of the Foot Basic Anatomy of the Foot The foot is a perfect marriage of form and function. The foot contains 26 bones, 2 sesamoid bones, 33 joints, 19 muscles and 107 ligaments. Dorsal view of foot illustrating first

More information

Muscle Movements, Types, and Names

Muscle Movements, Types, and Names Muscle Movements, Types, and Names A. Gross Skeletal Muscle Activity 1. With a few exceptions, all muscles cross at least one joint 2. Typically, the bulk of the muscle lies proximal to the joint it crossed

More information

Taping for Function. Martin Meyer Sports Physiotherapist

Taping for Function. Martin Meyer Sports Physiotherapist Taping for Function Martin Meyer Sports Physiotherapist Uses and Principles Support anatomical structures Restrict range of movement Facilitate muscular activity Taping parallel with muscle Inhibit muscular

More information

Sheet 1A. Treating short/tight muscles using MET. Pectorals. Upper trapezius. Levator scapula

Sheet 1A. Treating short/tight muscles using MET. Pectorals. Upper trapezius. Levator scapula Sheet 1A Treating short/tight muscles using MET Pectorals Once daily lie at edge of bed holding a half-kilo can, arm out sideways. Raise arm and hold for 10 seconds, then allow arm to hang down, stretching

More information

Age Defying Fitness Month 1

Age Defying Fitness Month 1 Age Defying Fitness Month 1 Workout time: 50 minutes maximum Days per Week: 4 5 Emphasis - Cardiovascular fitness and coordination Directions - Perform each exercise for one set, then follow with 2 minutes

More information

Body Ball Exercises SUPINE TRUNK CURL TRUNK EXERCISES. Tomado de : Bodytrends.com

Body Ball Exercises SUPINE TRUNK CURL TRUNK EXERCISES. Tomado de : Bodytrends.com Body Ball Exercises Tomado de : Bodytrends.com TRUNK EXERCISES Each of the following exercises has two to three intensity or complexity variations. Level I variations are described first and are the easiest

More information

WHAT IS STENOSIS? DO I NEED SURGERY OR CAN POSTURAL THERPAY HELP?

WHAT IS STENOSIS? DO I NEED SURGERY OR CAN POSTURAL THERPAY HELP? WHAT IS STENOSIS? DO I NEED SURGERY OR CAN POSTURAL THERPAY HELP? Stenosis is a narrowing of the spinal canal. It usually occurs in the lower back (lumbar spine) or the neck (cervical spine) It occurs

More information

FLEXIBILITY MAINTANCE PROGRAM

FLEXIBILITY MAINTANCE PROGRAM FLEXIBILITY MAINTANCE PROGRAM Here is a sample of a full program that can be done at the end of the day or as a maintenance routine anytime. It covers all areas of the body and focuses on the hip area

More information

Patellofemoral Joint: Superior Glide of the Patella

Patellofemoral Joint: Superior Glide of the Patella Patellofemoral Joint: Superior Glide of the Patella Purpose: To increase knee extension. Precautions: Do not compress the patella against the femoral condyles. Do not force the knee into hyperextension

More information

Dr. Enas Elsayed. Brunnstrom Approach

Dr. Enas Elsayed. Brunnstrom Approach Brunnstrom Approach Learning Objectives: By the end of this lab, the student will be able to: 1. Demonstrate different reflexes including stimulus and muscle tone response. 2. Demonstrate how to evoke

More information

Review Monday s Lecture. Why learn body mechanics? Principles of body mechanics How to prepare Traditional Lift Model Golfer s Lift

Review Monday s Lecture. Why learn body mechanics? Principles of body mechanics How to prepare Traditional Lift Model Golfer s Lift Review Monday s Lecture Why learn body mechanics? Principles of body mechanics How to prepare Traditional Lift Model Golfer s Lift The goal of transfer training is Some skills learned for one transfer

More information

Athletic Medicine Shoulder Rehabilitation. Treatment includes activity modification, stretching, and strengthening the affected limb.

Athletic Medicine Shoulder Rehabilitation. Treatment includes activity modification, stretching, and strengthening the affected limb. Athletic Medicine Shoulder Rehabilitation Treatment includes activity modification, stretching, and strengthening the affected limb. P Protection R Rest I Ice C Compression E Elevation Consider using a

More information

Range of Motion Exercises

Range of Motion Exercises Range of Motion Exercises Range of motion (ROM) exercises are done to preserve flexibility and mobility of the joints on which they are performed. These exercises reduce stiffness and will prevent or at

More information

Neck Extensor Stretch Muscle(s) Targeted: Erector Spinae. Assume start position standing or sitting

Neck Extensor Stretch Muscle(s) Targeted: Erector Spinae. Assume start position standing or sitting Neck Extensor Stretch Muscle(s) Targeted: Erector Spinae. Interlock your hands behind the head towards the top of the head. Inhale and then exhale as you pull your head forward. Try to touch your chin

More information

HELPFUL HINTS FOR A HEALTHY BACK

HELPFUL HINTS FOR A HEALTHY BACK HELPFUL HINTS FOR A HEALTHY BACK 1. Standing and Walking For correct posture, balance your head above your shoulders, eyes straight ahead, everything else falls into place. Try to point toes straight ahead

More information

Anatomy and Physiology 121: Muscles of the Human Body

Anatomy and Physiology 121: Muscles of the Human Body Epicranius Anatomy and Physiology 121: Muscles of the Human Body Covers upper cranium Raises eyebrows, surprise, headaches Parts Frontalis Occipitalis Epicranial aponeurosis Orbicularis oculi Ring (sphincter)

More information

Body Mechanics and Range of Motion I

Body Mechanics and Range of Motion I Body Mechanics and Range of Motion I Course Principles of Health Science Unit XIII Promotion of Safety Essential Question How can the health care provider properly apply the principles of body mechanics

More information

Ilio-Sacral Diagnosis and Treatment, Part Two

Ilio-Sacral Diagnosis and Treatment, Part Two Ilio-Sacral Diagnosis and Treatment, Part Two by Marc Heller, DC Let's continue exploring the ilio-sacral (IS) joint. I'll start with flares, which are rotations in the transverse plane. Next, I'll cover

More information

SHOULDER PULL DOWNS. To learn efficient use of the shoulder blades and arms while maintaining a neutral spine position.

SHOULDER PULL DOWNS. To learn efficient use of the shoulder blades and arms while maintaining a neutral spine position. SHOULDER INTRODUCT ION Welcome to your shoulder exercise program The exercises in the program are designed to improve your shoulder mobility, posture and the control of the muscles in your neck and shoulder

More information

MELT Mini Map For Motorcyclists

MELT Mini Map For Motorcyclists MELT Mini Map For Motorcyclists The MELT Self-Treatment Tools needed for this monthʼs Mini Map can be found online at store.meltmethod.com. Depending on which tools you have on hand, you can start with

More information

Stretching the Major Muscle Groups of the Lower Limb

Stretching the Major Muscle Groups of the Lower Limb 2 Stretching the Major Muscle Groups of the Lower Limb In this chapter, we present appropriate stretching exercises for the major muscle groups of the lower limb. All four methods (3S, yoga, slow/static,

More information

Dermatomes and Myotomes

Dermatomes and Myotomes Dermatomes and Myotomes C1 C2 C3 C4 C5 C6 C7 C8 T1 Upper Cervical Flexion Upper Cervical Extension Cervical Lateral Flexion Shoulder Girdle Elevation Shoulder Abduction Elbow Flexion Elbow Extension Thumb

More information

DSM Spine+Sport - Mobility

DSM Spine+Sport - Mobility To set yourself up for success, practice keeping a neutral spine throughout all of these movements. This will ensure the tissue mobilization is being applied to the correct area, and make the techniques

More information

Healthy Upper Back: Exercises

Healthy Upper Back: Exercises Healthy Upper Back: Exercises Here are some examples of exercises for your upper back. Start each exercise slowly. Ease off the exercise if you start to have pain. Your doctor or therapist will tell you

More information

PHYSICAL EXAMINATION OF THE FOOT AND ANKLE

PHYSICAL EXAMINATION OF THE FOOT AND ANKLE PHYSICAL EXAMINATION OF THE FOOT AND ANKLE Presenter Dr. Richard Coughlin AOFAS Lecture Series OBJECTIVES 1. ASSESS 2. DIAGNOSE 3. TREAT HISTORY TAKING Take a HISTORY What is the patient s chief complaint?

More information

Passive Range of Motion Exercises

Passive Range of Motion Exercises Exercise and ALS The physical or occupational therapist will make recommendations for exercise based upon each patient s specific needs and abilities. Strengthening exercises are not generally recommended

More information

The Pilates Studio of Los Angeles / PilatesCertificationOnline.com

The Pilates Studio of Los Angeles / PilatesCertificationOnline.com Anatomy Review Part I Anatomical Terminology and Review Questions (through pg. 80) Define the following: 1. Sagittal Plane 2. Frontal or Coronal Plane 3. Horizontal Plane 4. Superior 5. Inferior 6. Anterior

More information

SECTION II General Osteopathic Techniques

SECTION II General Osteopathic Techniques SECTION II General Osteopathic Techniques Chapter Four The Lower Extremities 40 Ligamentous Articular Strain The lower extremities are among the most important structures of the body and yet are often

More information

Lower Extremities. Posterior Compartment of Thighs Knee Flexors

Lower Extremities. Posterior Compartment of Thighs Knee Flexors Lower Extremities Lower extremities are adjusted to provide locomotion but, at the same time, carry the full body weight. The lower limb movement is transferred through the hip joint and pelvis onto the

More information

INTRODUCTION TO ADJUSTIVE TECHNIQUE: Body Planes:

INTRODUCTION TO ADJUSTIVE TECHNIQUE: Body Planes: INTRODUCTION TO ADJUSTIVE TECHNIQUE: Body Planes: In order to describe the direction of movement, the body is divided into planes. The body is positioned in the anatomical position, which means the body

More information

Human Anatomy: The Pieces of the Body Puzzle. demonstrate an understanding of the basis for anatomical description and analysis;

Human Anatomy: The Pieces of the Body Puzzle. demonstrate an understanding of the basis for anatomical description and analysis; CHAPTER 2 Human Anatomy: The Pieces of the Body Puzzle After completing this chapter you should be able to: demonstrate an understanding of the basis for anatomical description and analysis; use correct

More information

FMS SCORING CRITERIA DEEP SQUAT

FMS SCORING CRITERIA DEEP SQUAT SCORING CRITERIA DEEP SQUAT Upper torso is parallel with tibia or toward vertical Femur below horizontal Knees are aligned over feet Dowel aligned over feet Upper torso is parallel with tibia or toward

More information

Clarification of Terms

Clarification of Terms Clarification of Terms The plantar aspect of the foot refers to the sole or its bottom The dorsal aspect refers to the top or its superior portion The ankle and foot perform three main functions: 1. shock

More information

Injury Prevention for the Back and Neck

Injury Prevention for the Back and Neck Injury Prevention for the Back and Neck www.csmr.org We have created this brochure to provide you with information regarding: Common Causes of Back and Neck Injuries and Pain Tips for Avoiding Neck and

More information

Arms Exercise Routine Sheet

Arms Exercise Routine Sheet Arms Exercise Routine Sheet Front Arm Strengthening with a Therapy Band Triceps Stretch Forearm Strengthening in Pronation with a Therapy Band Forearm Strengthening in Supination with a Therapy Band Elbow

More information

CHAPTER 3: BACK & ABDOMINAL STRETCHES. Standing Quad Stretch Athletic Edge - www.athleticedge.biz - (650) 815-6552

CHAPTER 3: BACK & ABDOMINAL STRETCHES. Standing Quad Stretch Athletic Edge - www.athleticedge.biz - (650) 815-6552 CHAPTER : BACK & ABDOMINAL STRETCHES Standing Quad Stretch ) Stand and grasp right ankle with same hand, use a wall or chair to Lower maintain Back balance with left hand. Maintain an upright Stretches

More information

Spinal Exercise Program/Core Stabilization Program Adapted from The Spine in Sports: Robert G. Watkins

Spinal Exercise Program/Core Stabilization Program Adapted from The Spine in Sports: Robert G. Watkins Spinal Exercise Program/Core Stabilization Program Adapted from The Spine in Sports: Robert G. Watkins Below is a description of a Core Stability Program, designed to improve the strength and coordination

More information

Constant Leg Dominant Pain Self-Management Programme

Constant Leg Dominant Pain Self-Management Programme Things to remember: Constant Leg Dominant Pain Self-Management Programme 1. Prolonged bed rest is not recommended and can hinder recovery 2. Schedule periods of activity with rest throughout the day 3.

More information

Rib Stress Injury Prevention Program

Rib Stress Injury Prevention Program Athletic Medicine Rib Stress Injury Prevention Program Introduction A rib stress injury can be described as a rib stress reaction or can lead to a rib stress fracture if not managed or treated correctly

More information

Abductor Pollicis Longus. Biceps Brachii. Brachioradialis. Brachialis. Deltoid. Calcaneal Tendon. Muscles of the Arms & Legs

Abductor Pollicis Longus. Biceps Brachii. Brachioradialis. Brachialis. Deltoid. Calcaneal Tendon. Muscles of the Arms & Legs Abductor Pollicis Longus Biceps Brachii Brachioradialis Brachialis Calcaneal Tendon Deltoid Extensor Digitorum Longus Extensor Digitorum Fibularis Longus & Fibularis Brevis Flexor Carpi Radialis Flexor

More information

BONY LANDMARKS TO BE PALPATED

BONY LANDMARKS TO BE PALPATED c0007 The hand CHAPTER 7 ANATOMY 173 Bony landmarks to be palpated 173 Ligaments 174 Muscles 174 Extensors 174 Flexors 175 Abductors, adductors and opposers 175 MEASUREMENT 176 Range of movement CMC joint

More information

Self-Myofascial Release Foam Roller Massage

Self-Myofascial Release Foam Roller Massage How it works. Self-Myofascial Release Foam Roller Massage Traditional stretching techniques simply cause increases in muscle length and can actually increase your chances of injury. Self-myofascial release

More information

SAMPLE WORKOUT Full Body

SAMPLE WORKOUT Full Body SAMPLE WORKOUT Full Body Perform each exercise: 30 secs each x 2 rounds or 2-3 sets of 8-12 reps Monday & Wednesday or Tuesday & Thursday Standing Squat Muscles: glutes (butt), quadriceps (thigh) Stand

More information

Knee and Leg Radiating Pain

Knee and Leg Radiating Pain 1 Knee and Leg Radiating Pain "Peroneal Nerve Entrapment" ICD-9CM: 355.3 Lesion of lateral popliteal nerve Diagnostic Criteria History: Physical Exam: Line of pain on lateral side of knee and calf Paresthesias,

More information

Warm Up Exercise Drills

Warm Up Exercise Drills Warm Up Exercise Drills Exercise 1: The Bend and Reach Purpose: This exercise develops the ability to squat and reach through the legs. It also serves to prepare the spine and extremities for more vigorous

More information

The Thorax - Anterior and Lateral Chest Wall

The Thorax - Anterior and Lateral Chest Wall The Thorax - Anterior and Lateral Chest Wall by Marc Heller,DC When we think of the thorax, most of us think of the thoracic vertebrae and the posterior ribs. When examining for thoracic restrictions,

More information

Specific massage movements.

Specific massage movements. Specific massage movements. Exclusive Body Digi-Esth Esthétique movements Awakening Prelude 5 min + Specific movements Relaxing 30 min Aromatic bags 30 min Plantar 20 min Hands 10 min = Position of the

More information

DISLOCATIONS. Practical suggestions for the application of the OTA dislocation classification system. General principles.

DISLOCATIONS. Practical suggestions for the application of the OTA dislocation classification system. General principles. DISLOCATIONS Practical suggestions for the application of the OTA dislocation classification system. General principles. Although there are many different ways in which dislocations can be classified,

More information

Spine Conditioning Program Purpose of Program

Spine Conditioning Program Purpose of Program Prepared for: Prepared by: OrthoInfo Purpose of Program After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle.

More information

Pilates for Reducing Pain and Injury Associated with Posterior Tibial Tendon Issues

Pilates for Reducing Pain and Injury Associated with Posterior Tibial Tendon Issues Pilates for Reducing Pain and Injury Associated with Posterior Tibial Tendon Issues Melissa Zimmerman May 30, 2014 Physiologic Studio Brooklyn, New York Abstract The tibialis posterior is an extremely

More information

back stabilization and core strengthening

back stabilization and core strengthening back stabilization and core strengthening EXERCISE OOKLET back stabilization and core strengthening TLE OF CONTENTS Introduction 1 Hook-lying Stabilization Progression Neutral position 2 Hook-lying with

More information

Pelvic Stabilization, Lateral Hip and Gluteal Strengthening Program

Pelvic Stabilization, Lateral Hip and Gluteal Strengthening Program Athletic Medicine Pelvic Stabilization, Lateral Hip and Gluteal Strengthening Program Introduction Pelvic Stabilization program is geared toward improving the function and strength of the pelvis and hip

More information

Core Stability Exercises

Core Stability Exercises Static Floor Exercises The plank Core Stability Exercises Hold a straight body position, supported on elbows and toes. Brace the abdominals and set the low back in the neutral position. Hold this position

More information

The Skeletal System: Appendicular Division Pearson Education, Inc.

The Skeletal System: Appendicular Division Pearson Education, Inc. 7 The Skeletal System: Appendicular Division Objectives: Distinguish between Left & Right bones Bone markings How they fit together Introduction The appendicular skeleton includes: Pectoral girdle Shoulder

More information

Exercises for the Hip

Exercises for the Hip Exercises for the Hip Gluteal Sets: Lie on your back, tighten buttocks and hold for 3-5 seconds. Repeat 20 times. Supine Hip ER/IR: Lie on your back with legs straight. Gently rotate knees out and in limited

More information

Motor Skill Milestones

Motor Skill Milestones Motor Skill Milestones Neonate and First Month Baby orients visually when head is supported Baby moves both arms in wide, shoulder originating movements Elbows are flexed and recoil into flexion when passively

More information

ASOP Exams PO Box 7440 Seminole, FL 33775. The Manual of Fracture Casting & Bracing Exam 80% Passing ID # Name Title. Address. City State Zip.

ASOP Exams PO Box 7440 Seminole, FL 33775. The Manual of Fracture Casting & Bracing Exam 80% Passing ID # Name Title. Address. City State Zip. The Manual of Fracture Casting & Bracing Exam 80% Passing ID # Name Title Address City State Zip Tel# Email Certification Organization Cert# Mail a copy of your completed exam to: ASOP Exams PO Box 7440

More information

Strength and Stability Exercises for the

Strength and Stability Exercises for the Produced and Assemble by Members of the Human Performance Lab Spring 2008 Strength and Stability Exercises for the Back Row: (left to right): Eric Dale, Trevor Wittwer, Nick McCoy Front Row: Jenna Pederson,

More information

Top 25 Core Exercises

Top 25 Core Exercises Top 25 Core Exercises Lateral Leg Rolls - Feet Up Lie on the floor Knees & hips bent, feet off the floor Roll knees from side to side Shoulders remain flat on floor Complete 2-4 sets of 4-6 repetitions.

More information